Texas Insurance Code 1301.1052 – Preferred Provider Appeal After Audit
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Terms Used In Texas Insurance Code 1301.1052
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
If a preferred provider disagrees with a refund request made by an insurer based on an audit under § 1301.105, the insurer shall provide the provider with an opportunity to appeal, and the insurer may not attempt to recover the payment until all appeal rights are exhausted.